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Author
Topic: Just me offloading (Read 5824 times)

I am now on my fourth Doctor at the clinic since my diagnosis last year. The first one I saw couldn't take me on to his lists, so I was transferred to a great doc whom I saw twice. She then had to leave the clinic, and transferred me to the Consultant's patient list (it was a looong wait). Before I could get to see him, though, he apparently took a job with a pharmaceutical company and also left the clinic. So I was then transferred to the lists of another doc (and another long wait for an appointment). I turned up on the day to be told she had gone on annual leave. Gosh - they asked - hadn't anyone got in touch with me to let me know? (It's a 250 mile journey to that hospital from where I live, by the way). So they've made another - tentative - appointment for me to see her later on in May. Or is it 'Maybe'?

In the meantime, I have had shingles; my numbers have gone from 600 to 400, and the % from 37 to 20. My cholesterol is 8.6, my blood pressure is 160 / 95 and my glucose levels are 7.6 on a fast. I feel utterly exhausted all the time and can barely drag myself to work, which I am not doing at all well and questions are being asked. I don't know how long I can manage like this.

Oh dear, Aelwyd. What a time you're having. I really hope things improve for you soon.

Have you been seen for your shingles outbreak/BP etc.? Is there any doctor you can see closer to your home? I would definitely get that list of things checked out asap. We're here in the meantime. Luv,Betty

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I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

That clinic situation is a disaster. I hope you can be seen sooner or if things don't get better you could find yourself in the ER. Feel free to offload as much as you need too. If work becomes a big issue you may be able to look at going on FMLA (family medical leave act) which you can also use for your own health and well being.

Been wondering how you were. So sorry to hear of your difficulties with the clinic when your numbers are in a downturn. I hope someone from the UK can give you helpful advice about how to negotiate the system over there.

Hi I just saw your post. I know you are in the UK and that you are caring for a father with altzheimers disease. I hope you found a good facility for him. I have been through caring for an aged mother after losing my father to prostate cancer. My mother died this past October.I hope you keep in touch with your doctors office and dont let THEM slip up. Its always possible in a busy office to have mistakes. If you keep in touch with them more often, by calling or fax or email, perhaps they will be more apt to keep your name where it should be..... at the top of the list. Just kidding but seriously, the creaky wheel gets the grease.You treated the shingles right? Thats been taken care of or are you having another outbreak?

You will, by rights, have a choice of clinics. It is important you get a doc/clinic you like.

I would class your clinical picture as fairly urgent, particularly the cholesterol/blood pressure. At a CD4 count of 400 you are approaching the level where new (soon to be released) UK guidelines will recommend treatment. Since HIV drugs can affect cholesterol and/or interact with anti-cholesterol/blood pressure meds, this points needs addressing. Your HIV clinic needs to be involved in managing this.

Travelling 250 miles...there must be an alternative. NHS staff are paid from taxes and their to serve you, the patient. Being on annual leave without making arrangements for someone else to see you/telling you in advance is just damn unacceptable.

Upsetting news, indeed. As others have remarked, it's time to get aggressive with those f**kers. Do NOT fall through the cracks of the system.Get outraged and express it. Be heard; be persistent. No more Mr. Nice Guy till you get yourself what is rightfully yours.The problem here, however, is that no one would want your blood pressure to go through the roof.

My appointment has been rearranged for May 13. I have stipulated that this must be kept, even if my current doctor is herself unable to see me. I have also asked to be informed if there is a cancellation which would enable me to be seen earlier, and have told them that if I continue to feel as bad as I do, I am just gonna turn up and wait to be seen.

I have a glucose tolerance test arranged for 1 May and am awaiting an appointment for an ECG. I have asked my GP to consider whether treatment for the cholesterol issue is not also appropriate, so that when I am next seen at the clinic an appropriate regime might be put in place.

I have no idea whether all this is the result of HIV infection, but I have to say that I have never felt so ill. My whole body feels like it is shutting down.

Personally I like to do some meditation or visualizations to help me feel better. One... driving a Jeep with the top off while naked. Two... shooting paint pellets at George Bush. (no.. he is not a Texan) Three... seeing my living room filled with Australian Rules Football players

If those don't help... I eat chocolate. My own Mississippi Mud is a great way to feel good. Biting into a bunch of chocolate and marshmallow gooey goodness.

Of course that and getting hugs. Since we're so far away, you'll need to imagine a hug that wraps around you and squeezes you so tight, there's no doubt your loved.

Sorry Aelwayd, at least things are showing up, to ask you few questions, are you attending a GUM clinic or it is your personal GP?Am in UK, ESSEX... I don't know the area you are in UK, but under NHS you need to get medical attention as quick as possible, if you are in agony, under any circumstances, you could have just phone your nearest GUM clinic and make an emergency appointment, and they could have taken it without any constrain, we pay taxes for the reason''TO BE LOOKED AFTER INTIME OF ILLNESS'',not to feed people who are lazy, health and doesn't want to work

By way of follow-up. I DID get to see a doctor last week, but it's hard to know exactly what came out of the consultation.

The doc did not seem to think that my symptoms warranted treatment at this stage, although to be fair she is worried about my high blood pressure and cholesterol, and promised to write to my GP. She said that in the UK clinical guidelines were that medication would not be prescribed until my percentage fell below 14 and I was under 350.

She did, however, acknowledge that my trend is 'downward', and wants me to test again next month. I told her of my total exhaustion, sweats etc, but that information didn't get much of a response. She wouldn't give me any Acyclovir in case of a recurrence of the shingles I had a while ago as "... we don't like people self-diagnosing". I suppose that's understandable. The only point of real conflict came when I asked her whether decisions regarding medication were clinically- or cost-led. That didn't go down too well. She pointed out that "there are only so many options" as regards medication for HIV, and that because of this it is important to allow the immune system to fight the virus unaided as long as it can.

The clinic has asked me to become part of a trial by which a select group of HIV+ people whose CD4 is 400 or over are put on a course of hydroxychloroquine anti-rheumatoid arthritis drugs, to see whether that can boost the immune system. But it is a double-blind trial, so I would not be aware whether I actually am taking the drug, or whether it is a placebo. I am in two minds as to whether this is a good idea or not, and to be fair to them there is no pressure.

So we are more or less where we were. And I still feel like the bottom of a budgie's cage.

Lost my job in a recent reshuffle. So although there are days when I haven't got the energy to make it to the coffee pot, at least I can sleep when I want to. Financially I am OK for between 6 - 9 months *tightens belt*; after that I am well and truly scr*d. I see my doc again in August.

i hope things improve for you my friend. enjoy sleeping in while you can. keep us posted on upcoming events. did your job offer a severance package? also, will they be providing you with a good review when potential employers call? is there a possibility of working for the same company again in the future?

Unless something happened that is pertinent to your status in relation to your job - this is not something I want you to equate with life with HIV. I know you have enough on your plate as far as dealing with being poz, and just caution you not to attribute all that goes wrong in the world with a virus.

You will be ok, though I agree this is a unwelcome event at this time in your life.

I do worry about this statement of yours though: Unless something happened that is pertinent to your status in relation to your job - this is not something I want you to equate with life with HIV. I know you have enough on your plate as far as dealing with being poz, and just caution you not to attribute all that goes wrong in the world with a virus.

Not being a whingeing prat at all. You actually have a thing or seven to complain about.

Hope that drink helped. Also, I remember from another thread your saying you're a medievalist. Do "offload" your knowledge in the Off Topic forum if you feel like it, for the benefit of those of us who know that quite a few things did happen before 1485 -- but prefer watching 300 and Excalibur to reading Herodotus and Malory.

Jay

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Her finely-touched spirit had still its fine issues, though they were not widely visible. Her full nature, like that river of which Cyrus broke the strength, spent itself in channels which had no great name on the earth. But the effect of her being on those around her was incalculably diffusive: for the growing good of the world is partly dependent on unhistoric acts; and that things are not so ill with you and me as they might have been, is half owing to the number who lived faithfully a hidden life, and rest in unvisited tombs.